(Redirected from Human whipworm)
The 'human whipworm' ('''Trichuris trichiura' or 'Trichocephalus trichiuris'''), is a
roundworm, which causes
trichuriasis when it infects a human
large intestine. The name ''whipworm'' refers to the shape of the worm; they look like
whips with wider "handles" at the posterior end.
Symptoms include:
★ Light infestations are frequently asymptomatic.
★ Heavy infestations may have bloody
diarrhea.
★ Long-standing
blood loss may lead to iron-deficiency
anemia.
★
Rectal prolapse is possible in severe cases.
Infection occurs through accidental ingestion of eggs and is more common in warmer areas. The eggs hatch in the small intestine, and then move into the wall of the small intestine and develop. On reaching adulthood, the thinner end (the front of the worm) burrows into the large intestine and the thicker end hangs into the
lumen and mates with nearby worms. The females can grow to 50 mm (2 inches) long. Neither the male nor the female has much of a visible tail past the anus.
Whipworm infestation is detectable by stool examination, which can detect eggs and
charcot-leyden crystals.
Mebendazole is 90% effective in the first dose, and
albendazole may also be offered as an anti-parasitic agent. Adding iron to the bloodstream helps solve the iron deficiency and rectal prolapse.
Whipworm commonly infects patients also infected with ''
Giardia'', ''
Entamoeba histolytica'', ''
Ascaris lumbricoides'', and
hookworms.
Infection can be avoided by proper disposal of human feces, not
eating dirt, and not eating crops fertilized with
night soil.
Dog and cat whipworms

Egg of ''Trichuris vulpis''
Whipworms develop when a dog swallows whipworm eggs, passed from an infected dog. Symptoms may include
diarrhea,
anemia, and
dehydration. The 'dog whipworm' ('''Trichuris vulpis''') is commonly found in the U.S. It is hard to detect at times, because the numbers of eggs shed are low, and they are shed in waves. Centrifugation is the preferred method. There are several preventives available by prescription from a veterinarian to prevent dogs from getting whipworm.
The 'cat whipworm' is a rare parasite. In Europe it is mostly represented by '''Trichuris campanula''', and in North America it is '''Trichuris serrata''' more often.
[1] [2] In Whipworm eggs found in cats in the North America must be differentiated from lungworms, and from mouse whipworm eggs just passing through.
Pig whipworms (''Trichuris suis'') in treating other disorders
It has been suggested that a contributing cause of intestinal disorders is
immune system reaction to the patient's own body, and that adding worms for the immune system to attack instead may alleviate the symptoms. In a preliminary study, "among 100 volunteers with
Crohn's disease and 100 with
ulcerative colitis, both of which are diseases classified under
IBD [inflammatory bowel disease], the remission rate was 70% and 50%, respectively" after ingesting eggs of the pig whipworm ''Trichiuris suis''
[3]. See
Helminthic therapy.
See also
★
Worm
★
Human parasitic diseases
External links
★
Potential Disease Treatment: Swallow Some Worms
★
Globe and Mail: Sometimes having worms is good
★
BBC article mentions the Iceman had Whipworm